Provider Demographics
NPI:1548446743
Name:HAMBY CHIROPRACTIC INC
Entity type:Organization
Organization Name:HAMBY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORP OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:SCHROEDER
Authorized Official - Last Name:HAMBY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-966-4330
Mailing Address - Street 1:6716 MADISON AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-3159
Mailing Address - Country:US
Mailing Address - Phone:916-966-4330
Mailing Address - Fax:916-966-1839
Practice Address - Street 1:6716 MADISON AVE STE A1
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3159
Practice Address - Country:US
Practice Address - Phone:916-966-4330
Practice Address - Fax:916-966-1839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1841215183OtherINDIVIDUAL NPI
CA1548376064OtherINDIVIDUAL NPI
CADC0172880Medicare PIN
CAT06477Medicare UPIN
CA1548376064OtherINDIVIDUAL NPI
CADC0174460Medicare PIN